Deficiency in Meeting Required Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct resident care per day. A review of nursing time schedules from March 2 to March 8, 2025, revealed that on six out of the seven days reviewed, the facility did not provide the required hours of care. Specifically, on March 2, 2025, residents received 2.54 hours of care; on March 3, 2025, 3.06 hours; on March 4, 2025, 3.15 hours; on March 6, 2025, 2.87 hours; on March 7, 2025, 3.17 hours; and on March 8, 2025, 2.94 hours. This deficiency indicates a consistent shortfall in meeting the mandated care hours for residents during the specified period.
Plan Of Correction
5640 1,2) HPPD will be reviewed for the last 7 days to evaluate if the state minimum PPD of 3.2 hours of direct care is met. Master PCA has been updated and the facility is hiring to schedule needs to ensure ratios and HPPD at being met. 3) Nursing admin and scheduler will be re-educated on July 1 nurse staffing and PPD requirements. 4) Weekly audit of HPPD will be conducted for 60 days by NHA/designee to ensure minimal HPPD is met. Tracking and trends to be submitted to QAPI committee for any further action needed.